Active NPI
Seeram Seegolam, PHARMACIST
- Pharmacotherapy Pharmacist
- South Ozone Park, NY
National Provider Identifier
1134309248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 049085-01
- Practice address
- 13327 123Rd St
South Ozone Park
South Ozone Park, NY 11420-3216 - Phone
- (718) 529-4979
- NPI assigned
- Nov 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 049085-01 | NY | Primary |
Addresses
Primary practice location
13327 123Rd St
South Ozone Park
South Ozone Park, NY 11420-3216
Mailing address
13327 123Rd St
South Ozone Park
South Ozone Park, NY 11420-3216
Phone (718) 529-4979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049085-01 | NY | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1134309248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13327 123RD ST",
"address_2": "SOUTH OZONE PARK",
"city": "SOUTH OZONE PARK",
"state": "NY",
"postal_code": "114203216",
"telephone_number": "718-529-4979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13327 123RD ST",
"address_2": "SOUTH OZONE PARK",
"city": "SOUTH OZONE PARK",
"state": "NY",
"postal_code": "114203216",
"telephone_number": "718-529-4979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEEGOLAM",
"first_name": "SEERAM",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-06",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NY",
"license": "049085-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.